| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $4,686.37 | $4,686.37 | |
CareSource
| Facility | $394.80 | $435.26 | $474.23 | |
Cigna
| Facility | $423.32 | $423.32 | $423.32 | |
Cigna
| Facility | AS | $41.91 | $41.91 | $41.91 |
Highmark BCBS
| Facility | $4,424.97 | $4,424.97 | $4,424.97 |